Sowles, Gregory Scott

Sowles, Gregory Scott is an individual health care provider with primary practice located at 10315 Dawsons Creek Blvd Ste E , Fort Wayne IN 46825-1912. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Sowles, Gregory Scott can be contacted via phone (260) 387-6340.

Contact Information

Primary practice address
10315 Dawsons Creek Blvd Ste E Fort Wayne IN 46825-1912
Phone: (260) 387-6340
Fax: (260) 387-6984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 20040656 Indiana
Behavioral Health & Social Service Providers / Forensic 103TF0200X 20040656 Indiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39001155 Indiana

Profile Details

NPI number 1639182694
LBN Legal business name Sowles, Gregory Scott
Credentials HSPP LMHC PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated May 29th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639182694 NPPES
Indiana Other 258620 VISION MEDICARE GROUP NO
Indiana Other 200905570A VISION MEDICARE GROUP NO
Indiana MEDICAID 200380270 VISION MEDICARE GROUP NO

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